| NPI | 1376877795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: ID o-0796) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TN DO0000002408) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-06-21 |